Suspicious Lesion Goes Untested by Family Doctor

ByJoseph O'Neill

Updated on

Suspicious Lesion Goes Untested by Family Doctor

Case Overview

This case takes place in Illinois and involves a female patient who presented to her family doctor with a lesion on her right shoulder. The physician visually inspected the patient’s shoulder, but provided no diagnosis, instructing the patient to “keep an eye on it”. After a few months, the patient presented to the same doctor again, expressing her concerns about the same lesion. The family physician referred the patient to a dermatologist who took a biopsy of the lesion, at which point she was diagnosed with melanoma. She required extensive surgery on her shoulder to remove the cancer, resulting in the removal of significant muscle tissue and lymph nodes. It is alleged that the patient should have been referred to a specialist to inspect the lesion when she first showed it to her family physician.

Questions to the Cosmetics expert and their responses

Q1

Do you routinely review biopsies of melanomas?

Yes I routinely review biopsies of nodular melanomas in my capacity as a board-certified dermatopathologist. I diagnose approximately 20-30 cases of melanoma per year at our University Medical Center. I view skin cases daily on service and do clinical research in the local immune mechanisms of melanoma.

Q2

Can delay in diagnosis of this length worsen the outcome for a patient?

In general, early detection is key for the best possible outcomes for many types of melanomas. It would seem that the delay in this case would have lead to a significantly worse outcome for the patient.

About the expert

This expert is a board certified and fellowship trained dermatopathologist who has acquired membership in numerous professional societies including but not limited to the American Society of Dermatopathology, and she is extensively published and has been invited lecture to multiple professional conferences. Currently, she holds a high ranking dermatopathology Directorship position at her institution, and she has worked both in a private practice and academic setting.

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About the author

Joseph O'Neill

Joseph O'Neill

Joe is a seasoned expert in online journalism and technical writing, with a wealth of experience covering a diverse range of legal topics. His areas of expertise include personal injury, medical malpractice, mass torts, consumer litigation, and commercial litigation. During his nearly six years at Expert Institute, Joe honed his skills and knowledge, culminating in his role as Director of Marketing. He developed a deep understanding of the intricacies of expert witness testimony and its implications in various legal contexts. His contributions significantly enhanced the company's marketing strategies and visibility within the legal community. Joe's extensive background in legal topics makes him a valuable resource for understanding the complexities of expert witness involvement in litigation. He is a graduate of Dickinson College.

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